Incidence and timing of serious arrhythmias after early revascularization in non ST-elevation myocardial infarction

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Incidence and timing of serious arrhythmias after early revascularization in non ST-elevation myocardial infarction. / Wildi, Karin; Cuculi, Florim; Twerenbold, Raphael; Marxer, Tanja; Rubini Gimenez, Maria; Reichlin, Tobias; Haaf, Philip; Monsch, Raphael; Marsch, Stefan; Hunziker, Patrick; Bingisser, Roland; Osswald, Stefan; Erne, Paul; Mueller, Christian.

In: EUR HEART J-ACUTE CA, Vol. 4, No. 4, 01.08.2015, p. 359-364.

Research output: SCORING: Contribution to journalSCORING: Journal articleResearchpeer-review

Harvard

Wildi, K, Cuculi, F, Twerenbold, R, Marxer, T, Rubini Gimenez, M, Reichlin, T, Haaf, P, Monsch, R, Marsch, S, Hunziker, P, Bingisser, R, Osswald, S, Erne, P & Mueller, C 2015, 'Incidence and timing of serious arrhythmias after early revascularization in non ST-elevation myocardial infarction', EUR HEART J-ACUTE CA, vol. 4, no. 4, pp. 359-364. https://doi.org/10.1177/2048872614557230

APA

Wildi, K., Cuculi, F., Twerenbold, R., Marxer, T., Rubini Gimenez, M., Reichlin, T., Haaf, P., Monsch, R., Marsch, S., Hunziker, P., Bingisser, R., Osswald, S., Erne, P., & Mueller, C. (2015). Incidence and timing of serious arrhythmias after early revascularization in non ST-elevation myocardial infarction. EUR HEART J-ACUTE CA, 4(4), 359-364. https://doi.org/10.1177/2048872614557230

Vancouver

Bibtex

@article{7150e72ca69e42ddb92ae93dc104f796,
title = "Incidence and timing of serious arrhythmias after early revascularization in non ST-elevation myocardial infarction",
abstract = "BACKGROUND: In contrast to ST-elevation myocardial infarction (STEMI), in non-STEMI (NSTEMI) patients the need for continuous rhythm monitoring in a coronary care unit, respective incidence and timing of serious arrhythmias are poorly defined.METHODS: We used a derivation-validation design and data from two independent prospective cohorts of consecutive haemodynamically stable NSTEMI patients to evaluate the incidence and timing of serious arrhythmias after successful early percutaneous revascularization. Serious arrhythmia was prospectively defined as any arrhythmia that requires immediate medical attention including persistent ventricular tachycardia (>30 s), ventricular fibrillation, asystole, and high degree atrioventricular (AV)-block requiring pacemaker insertion during hospitalization.RESULTS: In the derivation cohort, among 228 NSTEMI patients who underwent successful early percutaneous revascularization, one patient (0.4%, 95% confidence interval 0.02-2.8%) had a serious arrhythmia which occurred 21 h after revascularization. In the validation cohort, among 293 NSTEMI patients who underwent successful early percutaneous revascularization, no patient (0%, 95% confidence interval 0-1.6%) had a serious arrhythmia after revascularization.CONCLUSION: The incidence of serious arrhythmias in NSTEMI patients after successful early revascularization seems to be very low.",
keywords = "coronary care unit, monitoring, NSTEMI, serious arrhythmia, successful revascularization",
author = "Karin Wildi and Florim Cuculi and Raphael Twerenbold and Tanja Marxer and {Rubini Gimenez}, Maria and Tobias Reichlin and Philip Haaf and Raphael Monsch and Stefan Marsch and Patrick Hunziker and Roland Bingisser and Stefan Osswald and Paul Erne and Christian Mueller",
note = "Publisher Copyright: {\textcopyright} The European Society of Cardiology 2014.",
year = "2015",
month = aug,
day = "1",
doi = "10.1177/2048872614557230",
language = "English",
volume = "4",
pages = "359--364",
journal = "EUR HEART J-ACUTE CA",
issn = "2048-8726",
publisher = "SAGE Publications",
number = "4",

}

RIS

TY - JOUR

T1 - Incidence and timing of serious arrhythmias after early revascularization in non ST-elevation myocardial infarction

AU - Wildi, Karin

AU - Cuculi, Florim

AU - Twerenbold, Raphael

AU - Marxer, Tanja

AU - Rubini Gimenez, Maria

AU - Reichlin, Tobias

AU - Haaf, Philip

AU - Monsch, Raphael

AU - Marsch, Stefan

AU - Hunziker, Patrick

AU - Bingisser, Roland

AU - Osswald, Stefan

AU - Erne, Paul

AU - Mueller, Christian

N1 - Publisher Copyright: © The European Society of Cardiology 2014.

PY - 2015/8/1

Y1 - 2015/8/1

N2 - BACKGROUND: In contrast to ST-elevation myocardial infarction (STEMI), in non-STEMI (NSTEMI) patients the need for continuous rhythm monitoring in a coronary care unit, respective incidence and timing of serious arrhythmias are poorly defined.METHODS: We used a derivation-validation design and data from two independent prospective cohorts of consecutive haemodynamically stable NSTEMI patients to evaluate the incidence and timing of serious arrhythmias after successful early percutaneous revascularization. Serious arrhythmia was prospectively defined as any arrhythmia that requires immediate medical attention including persistent ventricular tachycardia (>30 s), ventricular fibrillation, asystole, and high degree atrioventricular (AV)-block requiring pacemaker insertion during hospitalization.RESULTS: In the derivation cohort, among 228 NSTEMI patients who underwent successful early percutaneous revascularization, one patient (0.4%, 95% confidence interval 0.02-2.8%) had a serious arrhythmia which occurred 21 h after revascularization. In the validation cohort, among 293 NSTEMI patients who underwent successful early percutaneous revascularization, no patient (0%, 95% confidence interval 0-1.6%) had a serious arrhythmia after revascularization.CONCLUSION: The incidence of serious arrhythmias in NSTEMI patients after successful early revascularization seems to be very low.

AB - BACKGROUND: In contrast to ST-elevation myocardial infarction (STEMI), in non-STEMI (NSTEMI) patients the need for continuous rhythm monitoring in a coronary care unit, respective incidence and timing of serious arrhythmias are poorly defined.METHODS: We used a derivation-validation design and data from two independent prospective cohorts of consecutive haemodynamically stable NSTEMI patients to evaluate the incidence and timing of serious arrhythmias after successful early percutaneous revascularization. Serious arrhythmia was prospectively defined as any arrhythmia that requires immediate medical attention including persistent ventricular tachycardia (>30 s), ventricular fibrillation, asystole, and high degree atrioventricular (AV)-block requiring pacemaker insertion during hospitalization.RESULTS: In the derivation cohort, among 228 NSTEMI patients who underwent successful early percutaneous revascularization, one patient (0.4%, 95% confidence interval 0.02-2.8%) had a serious arrhythmia which occurred 21 h after revascularization. In the validation cohort, among 293 NSTEMI patients who underwent successful early percutaneous revascularization, no patient (0%, 95% confidence interval 0-1.6%) had a serious arrhythmia after revascularization.CONCLUSION: The incidence of serious arrhythmias in NSTEMI patients after successful early revascularization seems to be very low.

KW - coronary care unit

KW - monitoring

KW - NSTEMI

KW - serious arrhythmia

KW - successful revascularization

UR - http://www.scopus.com/inward/record.url?scp=84998085999&partnerID=8YFLogxK

U2 - 10.1177/2048872614557230

DO - 10.1177/2048872614557230

M3 - SCORING: Journal article

C2 - 25348273

AN - SCOPUS:84998085999

VL - 4

SP - 359

EP - 364

JO - EUR HEART J-ACUTE CA

JF - EUR HEART J-ACUTE CA

SN - 2048-8726

IS - 4

ER -